Estimated requirements for the special malaria fund of the PAHO

Pan American Health Organization World Health Organization

XVI PanAmerican

_×IV

_Regional

_Committee

SanitaryConference

_Meeting

Minneapolis, Minnesota, U.S.A. August-September 1962

Draft Agenda Item 3.10 0SP16/25 (Eng.)

l 20July1962

ORIGINAL:ENGLISH

ESTI_TEDREqUIREMENTS FOR THE SPECIAL F_LARIAFUND OF THE

PAN AMERICAN HEALTH ORGANIZATION

The XIII Meeting of the Directing Council of the Pan American

Health Organization, held in Washington in October 1961, approved the

Resolution XXVI_ with reference to the "Estimated Requirements for the

Special Malaria Fund of the Pan American Health Organization", which says:

"The Directing Council,

Having examined Document CD13/20 t "Estimated Requirements

for the PAHO Special MalariaFund"; and

Having reviewed the requirements for individual program

activities being developed or planned by the Pan American Health

Organization,

RESOLVES:

i. To take note of the estimates for future requirements for the

PAHO Special Malaria Fund (Document CD13/20).

2. To request the Director to prepare annual revisions of these

estimates for study by the Directing Council.

l_- 3. To urge Member Governments to support the PAHO Special Malaria

'_ Fund so that eradication activities may proceed as rapidly as

possible".

As was mentioned in the X Report of the Status of Malaria Eradication

in the Americas (Document CSP16/2Q), the Organization is expanding its active

participation in field research proyects, in cooperation with some Member

Governments I to determine the effectiveness of mass drug treatment, use of

larvicides, etc., and to obtain experience in managing and costing of these

complementary methods of attack in areas where the available insecticides

CSP16/25 (Eng.)

Page 2

Simultaneously, almost all programs are intensifying their

epidemiological activities to the maximum of their present financial

resources to determine the extent of the disappearance of malaria from

wide areas and to measure the limits and the magnitude of the remaining

"hard.core" problem areas.

During 1962, the supply of drugs from PAHO for both radical treatment

of cases in areas of disappearing malaria and mass chemoprophylaxis projects,

has been substantially increased. Moreover t a pilot project of larviciding

is being furnished with special equipment and materials° A variety of L

larvicides, new and old such as Paris Green, and equipment for dusting by

hand and air are among the items provided. These operations require that

the PAHO Special Malaria Fund give increasing assistance to governments.

It is well known that mass drug treatment and larviciding cost more

than house spraying with insecticides but, whenever the available insecticides

alone cannot interrupt transmission in an area of refractory malaria there

is no other alternative than to make an additional effort; areas already

freed of the disease must be protected at all costs. In the light of present

experience a mass drug treatment costs approximately $2.65 per capita per

year, of which $0°65 is the price of drugs and $2.00 the cost of distribution,

including supervision, transportation, etc. Unless a new drug with long

lasting effect becomes available, mass chemoprophylaxis must be made at

intervals of 2 or 4 weeks, depending upon the prevalence of malaria in the

area. Unfortunately we have not yet gained sufficient experience from

which to estimate the cost per capita of larviciding.

In addition it is important to state that most of the present

programs do not have an adequate program of epidemiological operations,

as recommended by the WHO Expert Committee on Malaria.

The estimate of the Special Malaria Fund for 1963, as contained in

Official Document N° 40 (Program and Budget 1963-1964), is $3,249,137. This

sum will cover the present assistance to the Member Governments but may

well need a substancial increase if the Organization is to be responsible

for providing all drugs and/or equipment and larvicides required by problem

areas even _now known to exist in the hemisphere.

The possibility of discovery of new problem areas as the campaign

presses' forward must be kept in mind as a factor which could require future

ch_ges in program and budget.

directing council regional committee

HEA

L

TH

HEA

L

TH

ORGANIZATION

ORGANIZATION

XIIIMeeting XIIIMeeting

Washington, D. C. October 1961

CD13/20 (Eng.)

28 August 1961

' 0RIGINAL: ENGLISH

Topic 33: EST]Z_IAT_REQUIR_'_ENTS FO_L_E PAHO SPECI_kL_ALAP_IAFUND

In November 1960, the staff of the Pan American Health

Organization prepared a document entitled "Estimated Requirements for the PAHO Special l_laria Fund" as an aid in forecasting future program and budget requirements. The document analyzed the progress of malaria eradication in each program receiving assistance from the Organization, and forecast the manner in which such assistance was planned for the future. Regional supporting servfces were also analyzed.

The Fourteenth v_orldHealth Assembly, meeting in New Delhi in

February 1961, as a result of its study of the status of the Malaria Eradica-tion Special Account of the World Health Organization, recommended tkrough

Resolution _:,%L&14.38that estimates be prepared of the trends in the activities of the Organization in respect of malaria in the coming five years (refer to Topic 34, Resolution _WAAI4.38).

The Director, in the belief that the prior document of PAHO would serve the purpose requested by the World Health Assembly, had

the honor to present it to the Executive Committee at its 43rd Heeting. The Committee examined Document CE43/5, and through Resolution XVII took note of the estimates for future requirements_ requested that the material be presented to the Directing Council with revisions to bring it up to

date; requested the Director to prepare annual revisions for future study_ and requested Member Governments to continue their support of the Special Malaria Fund so t_t eradication activities may proceed as scheduled.

The Director has the honor to present herewith "Estimated Require-ments for the PAHO Special N_laria Fund, Revision I" (Annex I), for

0D

l

3

/

20

Page 2

These revised estimates have been prepared in August 1961, and are based upon information regarding program development available at that time, and upon the best judgment as to the duration of activities in each individual case. It should be recognized, however, that in the twenty-nine individual programs, set-backs and delays may occur which cannot be foreseen at this time. The estimates should therefore be

regarded as probable minimum estimates, based upon the evidence available at the time of their compilation. All figures are shown in U. S. dollars.

The figures differ from those presented to the Executive Committee as regards the total cost of the program, and the requirements for PAHO

participation. Estimates regarding the total cost have increased, due principally to revised figures for Brazil, which program is to protect approx_mstely thirty-five per cent of the population in the malarious areas of the Americas. An increase is also foreseen in terms of PAHO requirements, resulting from a significant increase in the amount of assistance to be given to the Brazil program, and an extension of the period of assistance to several other programs, such as Panama and Paraguay in which the development of activities has not proceeded in accordance with original plans.

In view of the foregoing, the Directing Council may wish to approve a resolution along the following lines:

Proposed Resolution

The Directing Council,

Having examined Document CD13/20, "Estimated Requirements for the PAHO Special Malaria Fund;" and

Having reviewed the requirements for individual program activities being developed or planned by the Pan Americsm Health Organization,

RESOLVES:

i. To take note of the estimates for future requirements.

2. To request the Director to prepare annual revisions of these estimates for study by the Directing Council._

3. To request Member Governments to continue their support to

the PAHO Special _laria Fund so that eradication activities may proceed

as rapidly as possible.

c_13

/

2o

(Eng.)

ESTIF_TED REQUIRENENTS FOR THE

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